MATTIE M TUCKER GREEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031146

License Status

INACTIVE

Business

First Name

MATTIE M

Last Name

TUCKER GREEN

Business Name

MATTIE M TUCKER GREEN

Original Issue Date

08/01/1972

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/10/2008